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World J Gastroenterol. Oct 21, 2013; 19(39): 6679-6682
Published online Oct 21, 2013. doi: 10.3748/wjg.v19.i39.6679
Published online Oct 21, 2013. doi: 10.3748/wjg.v19.i39.6679
Aberrant celio-mesenteric supply of the splenic flexure: Provoking a bleed
Matthew Wu, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada
Darren Klass, Evgeny Strovski, David Liu, Department of Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, BC V6Z 3G2, Canada
Baljinder Salh, Department of Gastroenterology, University of British Columbia, Vancouver General Hospital, Vancouver, BC V6T 1Z4, Canada
Author contributions: Wu M, Klass D, Salh B and Liu D contributed to the manuscript writing and revision; Strovski E contributed to the manuscript revision and image processing.
Correspondence to: Darren Klass, MBChB, MD, Clinical Assistant Professor, Department of Radiology, University of British Columbia, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC V6Z 3G2, Canada. darren.klass@vch.ca
Telephone: +1-604-8754111 Fax: +1-604-8754723
Received: November 7, 2012
Revised: August 3, 2013
Accepted: August 16, 2013
Published online: October 21, 2013
Revised: August 3, 2013
Accepted: August 16, 2013
Published online: October 21, 2013
Core Tip
Core tip: In this article, the authors describe a case of lower gastrointestinal hemorrhage at the splenic flexure supplied by a celio-mesenteric branch in a patient and provocative angiography with tissue plasminogen activator utilized at the time of treatment to illicit the site of hemorrhage and subsequent treatment.